Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,398.83 / $5,754.40	Facility		$630.96	$2,398.83	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $5,495.41 / $5,495.41	Facility	50	$1,819.70	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,230.27	Professional		$478.63	$616.60	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $851.14	Professional		$446.68	$691.83	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,897.79	Facility		$3,630.78	$3,630.78	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $724.44	Professional		$549.54	$549.54	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $707.95	Facility		$489.78	$630.96	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $691.83	Professional		$457.09	$630.96	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $3,235.94	Facility		$512.86	$691.83	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $912.01	Professional		$457.09	$660.69	$912.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,096.48	Professional		$489.78	$912.01	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $7,244.36	Facility		$1,202.26	$2,290.87	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $954.99	Professional		$457.09	$602.56	$954.99